Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kellen J Pino, MS, LAT, ATC, CES

Individual provider Sports Medicine (Preventive Medicine) Physician · NPI 1104471085

Mr. Kellen J Pino, MS, LAT, ATC, CES is a Sports Medicine (Preventive Medicine) Physician in Albuquerque, New Mexico. Practices as a sole proprietor. Licensed in New Mexico.

Licensed in
NM
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

12200 Lomas Blvd NE
Albuquerque, NM 87112-5804
Phone: (505) 559-2200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083S0010X · Licence 424 (NM)

Record details

NPI number1104471085
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LAT , ATC , CES
Sole proprietorYes
NPI enumeratedAugust 7, 2019
Last updated in NPPESAugust 7, 2019